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Texas rates for HCPCS 43620

Gastrectomy, total; with esophagoenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.66 / $2,029.99 / $3,007.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.76 / $2,260.40 / $3,206.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.30 / $1,792.30 / $1,867.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,258.30 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.94 / $2,587.19 / $4,007.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $17,791.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,931.28 / $14,252.48 / $17,061.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.97 / $2,341.19 / $4,017.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.78 / $2,950.61 / $3,471.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.30 / $3,707.79 / $7,237.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.34 / $2,353.51 / $4,457.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.81 / $2,753.25 / $4,924.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.45 / $2,156.94 / $3,411.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.92 / $1,912.03 / $2,578.42